Alan Mehmet Akif, Eryılmaz Mehmet Akif, Kaymaz Figen, Suzer Aysegul, Arıcıgil Mitat
Department of Otorhinolaryngology, Dinar State Hospital, Afyonkarahisar, Turkey.
Department of Otorhinolaryngology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
Pak J Pharm Sci. 2018 Nov;31(6 (Supplementary):2579-2584.
Current data do not support the routine use of any agent to prevent cisplatin ototoxicity. Although there are various diseases in which derivatives of vitamin A are used due to their antioxidant effects, there is no study for prevention from ototoxicity. In this study, the protective effect of isotretinoin was investigated on cisplatin ototoxicity in rats. 21 Wistar Albino rats were divided randomly into 3 groups. Group I: cisplatin, Group II: cisplatin + isotretinoin and Group III was the control group. Hearing assessment of all rats was done with ABR and DPOAE tests before and after the procedure. After the procedure, cochleas were resected and transmission electron microscopic examination was performed. Our DPOAE and ABR findings showed that isotretinoin has protective effects on cisplatin ototoxicity. According to transmission electron microscopic findings, isotretinoin has protective effects on cell integrity. We think that new experimental and clinical studies to be carried out in this regard may give us a new option on prevention of cochlea from ototoxicity.
目前的数据不支持常规使用任何药物来预防顺铂耳毒性。尽管在各种疾病中,由于维生素A衍生物具有抗氧化作用而被使用,但尚无预防耳毒性的研究。在本研究中,研究了异维A酸对大鼠顺铂耳毒性的保护作用。将21只Wistar白化大鼠随机分为3组。第一组:顺铂组;第二组:顺铂+异维A酸组;第三组为对照组。在实验前后,通过听性脑干反应(ABR)和畸变产物耳声发射(DPOAE)测试对所有大鼠进行听力评估。实验后,切除耳蜗并进行透射电子显微镜检查。我们的DPOAE和ABR结果表明,异维A酸对顺铂耳毒性具有保护作用。根据透射电子显微镜检查结果,异维A酸对细胞完整性具有保护作用。我们认为,在这方面开展的新的实验和临床研究可能会为预防耳蜗耳毒性提供新的选择。